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September 2016 - FRMC

Hospital Star Wars: Sounding Off on the New CMS Star Ratings
02/09/2017
Dean Celia
In an interview last year, Gary Owens, MD, noted that "star ratings work better for restaurants and movies.”
In an interview last year, Gary Owens, MD, noted that "star ratings work better for restaurants and movies.”
In an interview last year, Gary...
02/09/2017
First Report Managed Care
Department
Autoimmune Diseases: Rheumatoid Arthritis and Psoriatic Arthritis
09/16/2016
The First Report Managed Care Trends Report serves as a resource for managed care professionals making management decisions addressing the spectrum of disease states that continue to challenge health care providers.
The First Report Managed Care Trends Report serves as a resource for managed care professionals making management decisions addressing the spectrum of disease states that continue to challenge health care providers.
The First Report Managed Care...
09/16/2016
First Report Managed Care
Department
Featured Speaker: Former White House Health Care Advisor Chris Jennings
09/15/2016
On Tuesday October 4, 2016, Chris Jennings, president of Jennings Policy Strategies, and Mike Leavitt, former Utah Governor and HHS secretary, will discuss the future of health care under the next President of the United States during the...
On Tuesday October 4, 2016, Chris Jennings, president of Jennings Policy Strategies, and Mike Leavitt, former Utah Governor and HHS secretary, will discuss the future of health care under the next President of the United States during the...
On Tuesday October 4, 2016,...
09/15/2016
First Report Managed Care
Department
Meeting Preview: AMCP Nexus 2016
09/15/2016
The upcoming AMCP Nexus 2016 Meeting (October 3-6 at the Gaylord National Hotel & Convention Center in National Harbor, Maryland) will bring together thousands of managed care professionals from all across the United States.
The upcoming AMCP Nexus 2016 Meeting (October 3-6 at the Gaylord National Hotel & Convention Center in National Harbor, Maryland) will bring together thousands of managed care professionals from all across the United States.
The upcoming AMCP Nexus 2016...
09/15/2016
First Report Managed Care
California Bill Falters Amidst Drug Price Transparency Dispute
09/15/2016
Paul Nicolaus
All eyes are on California’s prescription drug price battle as this heavily contested issue of national importance plays out.
All eyes are on California’s prescription drug price battle as this heavily contested issue of national importance plays out.
All eyes are on California’s...
09/15/2016
First Report Managed Care
Payer Roundtable: Going Beyond Oncology Clinical Pathways
09/15/2016
Dean Celia
Clinical care pathways have the most traction in cancer management, but that hasn’t stopped some stakeholders from venturing into other areas. Atul Dhir, MD, and Bruce A Feinberg, DO, share their experiences adopting the pathways process to...
Clinical care pathways have the most traction in cancer management, but that hasn’t stopped some stakeholders from venturing into other areas. Atul Dhir, MD, and Bruce A Feinberg, DO, share their experiences adopting the pathways process to...
Clinical care pathways have the...
09/15/2016
First Report Managed Care
Opioid Addiction Treatment: Can Managed Care Make an Impact?
09/15/2016
Jill Sederstorm
As opioid misuse and addiction reach a boiling point in the United States, legislators, providers, and payers are taking steps to prevent abuse and improve treatment.
As opioid misuse and addiction reach a boiling point in the United States, legislators, providers, and payers are taking steps to prevent abuse and improve treatment.
As opioid misuse and addiction...
09/15/2016
First Report Managed Care
Department
Study: Economic Burden of Skin Cancer Increasing in the US
09/15/2016
Recent research presented at the Summer Annual Meeting found that the amount of patients being screened and treated for skin cancer is substantial and increasing.
Recent research presented at the Summer Annual Meeting found that the amount of patients being screened and treated for skin cancer is substantial and increasing.
Recent research presented at the...
09/15/2016
First Report Managed Care
Department
Psoriasis Treatments May Improve Cardiovascular Symptoms
09/15/2016
According to research presented at the 2016 AAD Summer Annual Meeting, treating patients for psoriasis may help to reduce related cardiovascular symptoms by reducing overall inflammation.  
According to research presented at the 2016 AAD Summer Annual Meeting, treating patients for psoriasis may help to reduce related cardiovascular symptoms by reducing overall inflammation.  
According to research presented...
09/15/2016
First Report Managed Care

Department

Formulary Frontlines®
Insulin Therapies: What is Behind the Escalating Cost?
09/15/2016
Eileen Koutnik-Fotopoulos
Understanding the factors driving diabetes treatment costs higher and higher.
Understanding the factors driving diabetes treatment costs higher and higher.
Understanding the factors...
09/15/2016
First Report Managed Care

Behind the Bill

Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
Katie Hayes, MJ
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
Katie Hayes, MJ
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Katie Hayes, MJ
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
Katie Hayes, MJ
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
Katie Hayes, MJ
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
Katie Hayes, MJ
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Katie Hayes, MJ
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 1)
02/12/2025
Katie Hayes, MJ
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust...
02/12/2025
First Report Managed Care
Behind the Bill
No, President Trump Did Not Actually Sign an Executive Order That Would Increase Drug Costs for Beneficiaries
02/05/2025
Katie Hayes, MJ
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
Robert F. Kennedy Jr’s Confirmation and the Unexpected Turn in the Drug Pricing Debate
01/29/2025
Katie Hayes, MJ
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care

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Trending Articles

Headshot of Gary Owens
Interview
An Overview of Vitiligo: Prevalence, Comorbidities, and Available Therapies
05/30/2023
Maria Asimopoulos
Gary Owens, MD, president of Gary Owens Associates, reviews the prevalence and burden associated with vitiligo as well as coverage considerations for a range of treatment options. 
Gary Owens, MD, president of Gary Owens Associates, reviews the prevalence and burden associated with vitiligo as well as coverage considerations for a range of treatment options. 
Gary Owens, MD, president of...
05/30/2023
First Report Managed Care
News
Substantial Annual Health Care Costs Associated With Hemophilia A
06/23/2023
Julie Gould
Researchers conducted a comprehensive literature review to investigate the direct and indirect costs associated with hemophilia A.
Researchers conducted a comprehensive literature review to investigate the direct and indirect costs associated with hemophilia A.
Researchers conducted a...
06/23/2023
First Report Managed Care
News
RSV Vaccination in US Older Adults Could Save Up to $1 Billion Per Season
07/24/2023
Jolynn Tumolo
"Our analysis provides contemporary estimates of the population-level RSV disease burden and insights into the economic value drivers for RSV vaccination," said researchers. 
"Our analysis provides contemporary estimates of the population-level RSV disease burden and insights into the economic value drivers for RSV vaccination," said researchers. 
"Our analysis provides...
07/24/2023
First Report Managed Care
News
Hospital-Onset CDI Incidence, Antibiotic Use Drop With Two-Step Testing
08/16/2023
Jolynn Tumolo
The implementation of two-step testing for Clostridioides difficile infection may lead to a decrease in hospital-onset CDI and antibiotic use, suggesting improved diagnostic specificity and indirect reassurance against underdiagnosis and...
The implementation of two-step testing for Clostridioides difficile infection may lead to a decrease in hospital-onset CDI and antibiotic use, suggesting improved diagnostic specificity and indirect reassurance against underdiagnosis and...
The implementation of two-step...
08/16/2023
First Report Managed Care

September 2016 Volume 13 Issue 9

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